Individual
JAMIE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
23 BRAD SCOTT LN, APT E, CARBONDALE, IL 62902-8104
(607) 259-2010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
080755
NY
Other
Enumeration date
04/07/2014
Last updated
06/29/2015
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